What are the most common errors when submitting claims?

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What are the most common errors when submitting
claims?
Have you ever checked how accurate claims are
being submitted by your medical billing
department? Due to the complex medical coding
system, it is not surprising that errors are
possible. A small error may lead to denial which
ultimately impacts overall practice revenue.
Lets discuss common errors when submitting
claims in detail. Every practice has a main goal
to ensure the practice gets reimbursed for all
services that are rendered. While achieving this
goal, both system and human errors are sometimes
unavoidable. As we are all aware that the entire
medical billing process includes two major
elements, this includes health and money. That is
the main reason reducing any possible errors is
important. Common Errors when Submitting
Claims Wrong demographic information It is a
very common and basic issue that happens while
submitting claims. Feeding correct patient
demographic details are very important like their
Date of Birth, Gender, Insurance ID, etc.
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What are the most common errors when submitting
claims?
Incorrect Provider Information on
Claims Incorrect provider information like
address, NPI, etc. can lead to denied claims.
Generally, billers focus on patient data while
submitting claims, and they do not give priority
to check provider details. It may happen in Group
Physicians practice, billers have to keep eyes on
treating physician details while submitting
claims. Wrong CPT Codes Wrong medical codes
such as CPT, HCPCS, or ICD or entering wrong
details of the place of service codes, or
attaching conflicting details to CPT or HCPCS
codes, entering too many or less digits to HCPCS,
ICD, CPT codes is the most common error may
occur. If your practices billing staff is not
updated with the latest medical coding updates,
then they may submit deleted or non-billable
codes.  
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What are the most common errors when submitting
claims?
Claim not filed on time If a proper claim is
submitted, but its submitted out of the claims
submission time frame of the insurance company,
it may result in a denial. Medicare providers
should be aware that the Affordable Care Act
reduced the claims-submittal period from between
15 27 months down to 12 months. The start date
for a Medicare claim is the Date of Service was
provided or the from date on the claim
form. The claim must be sent to the appropriate
Medicare claims processing contractor well in
advance. A claim sent before to the end date but
they received it after will lead to denial. It is
important to understand the required supporting
documentation to get proper reimbursement.
Commercial payers and Medicare have different
guidelines for claims submissions that are
considered timely filings. If your team is
following up on claims on time then the chances
are higher to get it paid. You can always check
your reports to identify the percentage of denied
claims and the reasons for denials. At all times,
your team can check through the patient details,
and any other details that are important to claim
submissions.
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What are the most common errors when submitting
claims?
To prevent claim submission issues, providers
must avoid medical billing and coding errors.
Ongoing continuing education programs and other
informal training sessions can help to make sure
that your staff is aware of the latest coding
requirements and best practices.   Another way to
improve your practice efficiency is by
outsourcing medical billing to the right billing
company. To know more you can connect with our
medical billing experts.